Provider Demographics
NPI:1497961437
Name:CAFFREY, AMY LYNN (MA, LMFT)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:LYNN
Last Name:CAFFREY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 GILMAN AVE
Mailing Address - Street 2:SUITE 32
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-3024
Mailing Address - Country:US
Mailing Address - Phone:408-871-1397
Mailing Address - Fax:408-871-1458
Practice Address - Street 1:80 GILMAN AVE
Practice Address - Street 2:SUITE 32
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-3024
Practice Address - Country:US
Practice Address - Phone:408-871-1397
Practice Address - Fax:408-871-1458
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 33497106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist